Wye Oak Healthcare Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WYE OAK HEALTHCARE WELLNESS LLC

Practice address

4922 Lasalle Rd
Hyattsville, MD 20782-3302

Phone

(301) 864-2333

NPI assigned

Nov 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark Anthony Yost Jr.

Title

Ceo

Phone

(301) 864-2333

Specialties & licenses 5

Addresses

Other names 1

• CADIA WELLNESS MARYLAND Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1497269336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922B LASALLE RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 LASALLE RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823302",
            "telephone_number": "301-864-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214032124",
            "country_code": "US",
            "telephone_number": "301-933-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4922B LaSalle Rd",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207823302",
            "country_code": "US",
            "telephone_number": "301-864-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12325 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042957",
            "country_code": "US",
            "telephone_number": "301-622-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209021054",
            "country_code": "US",
            "telephone_number": "301-933-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14014 Marsh Pike",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421638",
            "country_code": "US",
            "telephone_number": "301-733-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3322 Silverside Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103307",
            "country_code": "US",
            "telephone_number": "302-478-8889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046541",
            "country_code": "US",
            "telephone_number": "302-734-1199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 Three Little Bakers Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198081754",
            "country_code": "US",
            "telephone_number": "302-455-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26002 John J Williams Hwy",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199664948",
            "country_code": "US",
            "telephone_number": "302-947-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091443",
            "country_code": "US",
            "telephone_number": "302-449-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYE OAK HEALTHCARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-864-2333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CADIA WELLNESS MARYLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avril Wright
• Emmanuel Wright
• Rita Delores Wutoh, MD
• Wye Oak Healthcare of Hyattsville, LLC
• Wye Oak Healthcare of Hyattsville, LLC
• Melville Cecil Wyse, D.D.S., M.P.H.
• Sharifa Yamba
• Emma Uy Yang, MD
• Amenan Marie Paule Yao
• Lepiliwa Makiliwe Yao

• Internal Medicine Physician in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.